Survival and chipping of zirconia-based and metal-ceramic implant-supported single crowns

Purpose: The objective of this retrospective study was to compare the incidence of chipping of implant-supported, all-ceramic, and metal-ceramic single crowns. Material and Methods: One hundred fifty-three patients (51.7% male, mean age 55.0 years) received 232 cemented implant-supported single crow...

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Main Authors: Kappel, Stefanie (Author) , Schröder, Christin (Author) , Hassel, Alexander J. (Author) , Bömicke, Wolfgang (Author) , Rammelsberg, Peter (Author)
Format: Article (Journal)
Language:English
Published: May 2012
In: Clinical implant dentistry and related research
Year: 2011, Volume: 14, Pages: e119-e125
ISSN:1708-8208
DOI:10.1111/j.1708-8208.2011.00388.x
Online Access:Verlag, Volltext: http://dx.doi.org/10.1111/j.1708-8208.2011.00388.x
Verlag, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1708-8208.2011.00388.x
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Author Notes:Stefanie Schwarz, Dr. med. dent., Christin Schröder, Alexander Hassel, Prof. Dr. med. dent., Wolfgang Bömicke, Dr. med. dent.,Peter Rammelsberg, Prof. Dr. med. dent.
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Summary:Purpose: The objective of this retrospective study was to compare the incidence of chipping of implant-supported, all-ceramic, and metal-ceramic single crowns. Material and Methods: One hundred fifty-three patients (51.7% male, mean age 55.0 years) received 232 cemented implant-supported single crowns. One hundred and seventy-nine crowns had a metal framework (gold alloy) and 53 crowns were all-ceramic (zirconia framework and glass-ceramic veneer material). Age, gender, kind of cementation, and location of the restorations were assessed as possible factors affecting chipping. Results: During the observation period of up to 5.8 years (mean 2.1 years; standard deviation 1.4), a total of 13 (24.5%) all-ceramic and 17 (9.5%) metal-ceramic crowns suffered from chipping, a difference that was statistically significant. A total of ten single crowns had to be remade resulting in survival of 86.8% (all-ceramic) and 98.3% (metal-ceramic). The other possible factors did not have a significant effect on the chipping. Conclusion: Chipping was found to be more frequent for all-ceramic implant-supported single crowns. If the reasons for the vulnerability of all-ceramic crowns remain unknown, implants with all-ceramic single crowns should generally be recommended with care.
Item Description:First published: 10 October 2011
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Physical Description:Online Resource
ISSN:1708-8208
DOI:10.1111/j.1708-8208.2011.00388.x